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Individual

DR. JIMIN PARK-REEVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
655 W SMITH ST STE 206, KENT, WA 98032
(253) 854-8306
Mailing address
7608 113TH AVE SE, NEWCASTLE, WA 98056-1664
(512) 461-2182

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
60437962
WA
1223G0001X
General Practice Dentistry
Primary
DE60437962
WA

Other

Enumeration date
08/22/2011
Last updated
08/30/2018
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